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This is VAERS ID 1307490

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1307490
VAERS Form:2
Age:37.0
Sex:Male
Location:Maryland
Vaccinated:2021-04-24
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Stent placement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: had LHC and had stent placed in ostial LAD 5/2/2021
CDC 'Split Type':

Write-up: 2nd dose of Moderna vaccine given on 4/23/2021. He presented with acute STEMI on 5/2/2021. He has no family hx of premature CAD and no known cardiac RFs. Although doubt relationship between the vaccine and his acute MI our ID agreed that reporting this to VAERS is reasonable.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1307490&WAYBACKHISTORY=ON


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